CN108140422A - For disposing the disposal plant of the abnormal gait of people and method - Google Patents
For disposing the disposal plant of the abnormal gait of people and method Download PDFInfo
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Abstract
The present invention relates to a kind of for disposing the disposal plant of the abnormal gait of people (1).The disposal plant (10) includes：Abnormal gait monitoring unit (11) is used to detect the abnormal gait of the people；(one or more) prompt unit (15,16,17)；And prompting control unit (14), it is used to control (one or more) prompt unit in response to detecting the abnormal gait people will be supplied to for disposing the first of the abnormal gait the prompting collection.The abnormal gait monitoring unit, which is monitored, to be provided the effect of the first prompting collection to the people and determines whether the abnormal gait detected is just being overcome.(one or more) prompt unit described in the prompting control unit control is collected with providing the second different promptings to the people in the case where it has determined that the abnormal gait detected is not yet overcome.This improves the possibility that can effectively dispose the abnormal gait detected.
Description
Technical field
The present invention relates to a kind of for disposing the disposal plant of the abnormal gait of people.The invention further relates to for disposing people's
The correspondence method of disposal of abnormal gait and the computer program for controlling the disposal plant.
Background technology
WO2010/124013A1 discloses the device and method for disposing the people for freezing (FoG) obstacle with gait.
FoG is big movable sex chromosome mosaicism, wherein, walking becomes irresolute, and may stop completely.This is described as by patient as him
Foot " being sticked on floor " and occur in the major part of parkinsonism (PD) PATIENT POPULATION.Scene is of short duration, but several
In kind environment, freeze to may be awkward or dangerous, increase the risk of tumble, and ultimately increase the possibility of home for destitute placement
Property.The scene of FoG can be overcome by providing external schema, the external schema is usually in the form of the sense of hearing or visual cues
Both feet is encouraged upward to be stepped with top, as separated rather than take a step forward as conventional walking from glue.For this purpose,
Known equipment include for sense people movement motion sensor, wherein, when the rule for detecting gait or dyskinesia
Property variation when, the equipment can automatically provide auditory cues.
However, by particular hint attainable disposition effect there is the significant difference between individual in vivo.This
Outside, due to habituation process, the disposition effect of prompting may be tired over time, and the progress of disease may
Cause previously successfully to prompt to fail as time goes by.It is thus known that equipment may disposition FoG breaking-out in terms of not
Always effectively.
2009/0264789 A1 of US are disclosed selects one group of disposition parameter value based on patient's states, wherein, Huan Zhezhuan
State includes Language State or mixing patient's states, and the mixing patient's states include Language State and motion state or sleep shape
At least one of state.In this way, treatment delivering is customized for patient's states, can included to specific to patient's states
One or more patient symptoms.
2009/0099627 A1 of US disclose the brain signal based on such as electroencephalogram (EEG) signal to detect the fortune of patient
Dynamic state.In some instances, can sense in the forehead blade back lateral cortex of patient's brain brain signal (its indicate patient it is pre-
Phase moves) to detect mobile status.Mobile status can include following brain states：Instruction patient wants setting in motion,
Attempt to start movement or reality is moving.
2009/0082829 A1 of US disclose the will that patient is detected by the bio signal by means of patient's intracerebral
Input the delivering to control treatment.Vlitional patient's input, which can be directed to, performs specific body or psychological activity, such as moves
Dynamic muscle performs mathematical computations.
Invention content
It, can be in disposition gait the object of the present invention is to provide a kind of for disposing the disposal plant of the abnormal gait of people
Abnormal aspect has improved validity.It is a further object to provide a kind of for disposing pair of the abnormal gait of people
Answer method of disposal and the computer program for controlling the disposal plant.
In the first aspect of the present invention, it is proposed that it is a kind of for disposing the disposal plant of the abnormal gait of people, wherein, institute
It is that gait freezes (FoG) to state abnormal gait, wherein, the disposal plant includes：
Abnormal gait monitoring unit is used to detect the abnormal gait of the people,
One or more prompt units and
Prompt control unit, be used in response to detect abnormal gait and control one or more prompt units with to
The people provides one or more the first prompting collection prompted for disposing the abnormal gait detected,
Wherein, the abnormal gait monitoring unit is suitable for the effect and true that monitoring provides the first prompting collection to the people
Whether the abnormal gait that regular inspection measures just is being overcome, and
Wherein, the prompting control unit is suitable for controlling one or more of prompt units, to have determined detection
To abnormal gait be not yet overcome in the case of the second different promptings of one or more promptings be provided to the people collect.
It provides the effect of the first prompting collection because the abnormal gait monitoring unit is monitored to the people and determines
Whether the abnormal gait detected is being overcome, and because the prompting control unit controls one or more of promptings
Unit, thus can be with to provide different second promptings in the case where having determined that the abnormal gait detected is not overcome
Different prompting collection is attempted the people.When the disposition effect that can be realized by particular hint exist in vivo between individual it is different
When, when causing the disposition effect of prompting may be tired at any time due to habituation process and when the progress of disease may
When making that previously successfully prompting is unsuccessful as time goes by, which improve can effectively dispose the abnormal gait that detects
Possibility.In addition, the duration being overcome to the abnormal gait detected may be shorter.
For example, the people with FoG obstacles is one about the diversified group of following aspect：They have how frequently
FoG is undergone, seriousness induces the factor of FoG and them can be helped to overcome skill or the prompting of FoG breaking-outs.For example,
" the The Factors that Induce or Overcome Freezing of Gait in of S.Rahman et al.
Parkinson ' s Disease ", Behavioural Neurology, volume 19, No. 3, page 127 to 136 (2008 years)
The mail survey of 130 Parkinson's disease patients is reported as a result, wherein 72% people reports FoG.As a result show that FoG is most common
Continue several seconds, but break out may occasional more than 30 seconds.As the factor for inducing FoG, various situations are mentioned
Or situation, such as turn round, fatigue is in tension in narrow space, walks in narrow space, in group, passes through
Doorway, etc..In order to which FoG is overcome to break out, each paces are such as paid close attention to, take longer paces, change the skill of weight distribution etc.
It has been reported as helpful.It is also known that for FoG, the effect of skill/prompting may be from different hairs for individual
It is different in work, and and the disposition effect of skill/prompting may be at any time and tired.In addition, mistake prompting or in mistake
The prompting of correct prompting or same time between mistaking is too many, in some instances it may even be possible to can induce the breaking-out of FoG.In this context, it is right
The possibility that people attempts different prompting collection more likely to find " correct " prompting collection for specific FoG breaking-outs.
In the context of this description, the term " prompting " of occlusion and the term " prompting " of verb form are understood to
Refer to apply time associated with starting and/or persistently promoting gait maneuver activity and/or outside to stimulate.
Preferably, it is described first prompting collection and described second prompting collection difference lies in：(i) mould of at least one prompting
State and/or (ii) it is described second prompting collection with described first prompting collection compare including additional mode at least one prompting or
Vice versa and/or (iii) is collected by the information that at least one prompting for giving mode provides in the first prompting collection and the second prompting
Between it is different.
In the context of this description, term " mode " is understood to refer to transmit mode and the prompting of given prompting
The specific perception solved.For example, auditory cues are usually passed by acoustic transducer (for example, loud speaker, headphone etc.)
Pass and solve Auditory Perception, and visual cues usually by optical transducer (for example, laser designator, image or video projection
Instrument etc.) it transmits and solves visual perception.Both promptings are considered as different mode.However, it is provided by laser designator
Visual cues be also considered as from the different form of visual cues by image or video projector's offer, although they are all solved
Certainly visual perception.Similarly, such as by electrode patch the electro photoluminescence prompting delivered is considered as and for example passes through vibratory equipment
The haptic stimulus of delivering prompts different mode, although they all solve the body sense perception of skin.On the other hand, term " information "
The feature of stimulation provided by giving the prompting of mode is provided in the context of this description.For example,
The first auditory cues delivered by earphone can be rhythmical sound, such as beat a drum, the second auditory cues delivered by earphone
It can be voice command, such as " walking 1,2,3,4 ", and can be music samples by the third auditory cues that earphone delivers, example
" I ' m Walking " such as from Fats Domino.These three promptings are considered as identical mode, but each is both provided
Different information.
The auditory cues of given mode can alternately provide given information to every ear of people.For example, capture
Voice can alternately say the order " right side " for being transmitted to the order " left side " of the left ear of people and being transmitted to the auris dextra of people.Alternating is taken aim at
The left and right ear of quasi- people may be to overcome the abnormal gait detected to provide the stimulation of strength.Visual cues can also be realized similar
Effect.It is, for example, possible to use image or video projector alternately project the image of left foot and right crus of diaphragm before the foot of people,
In, left foot is projected as more keeping left than right crus of diaphragm.Certainly, such alternate sense of hearing and visual cues can also be combined with to
Fixed prompting, which is concentrated, to be benefited.
It may further be preferable that the prompting control unit is suitable for controlling one or more of prompt units with first
Predetermined amount of time provides the first prompting to the people and collects, and the abnormal gait monitoring unit is suitable for different in the gait detected
Often determine that the abnormal gait detected is not yet overcome in the case that the first predetermined amount of time terminates to stop not yet.It is preferred that
Ground, first predetermined amount of time is in the range of 1 to 5 second, such as 2 seconds so that is also found that is detected after at 2 seconds
During abnormal gait, the abnormal gait that abnormal gait monitoring unit determines to detect not yet is overcome, and thus the prompting control is single
Member controls one or more of prompt units to provide the second different prompting collection to the people.
Preferably, the first prompting collection and the described second prompting collection form the one of the prompting collection sequence of different prompting collection
Part, wherein, as long as the prompting control unit is suitable for one or more of prompt unit abnormal gaits is controlled to determine
Unit determines that the abnormal gait detected is not yet overcome and different prompting collection is just successively provided to the people.In this way
Do, different prompting collection can be attempted one by one on the people, until find the abnormal gait that can terminate to detect " just
Really " until prompting collection.On the other hand, if the abnormal gait determination unit for example determines at some point, for example, to institute
It states after people provides a certain number of different prompting collection, the abnormal gait detected no longer exists, it may be considered that detection
To abnormal gait be overcome and prompt to be stopped.In this case, it is also possible to, the prompting control unit
Control one or more of prompt units in additional predetermined amount of time (such as other 3 seconds) by current " correct " prompting
Collection is supplied to the people to increase the lasting possibility of disposition effect.
Preferably, the disposal plant further includes：
Abnormal gait limits unit, is used for based on the past of current scene and/or the people step for indicating the people
The information of the information of state exception and/or the abnormal gait of the group of the people, to limit the abnormal gait detected,
Wherein, the prompting control unit is suitable for building prompting collection sequence based on the result of the restriction.
By doing so, allow to according to the concrete condition of abnormal gait detected come customized prompts collection sequence.Example
Such as, the information of the current scene based on assignor can include according to seriousness the restriction of abnormal gait detected, hair
Sick moment (for example, time in one day), the physiological status (for example, heart rate) of the people, the presence of additional triggers factor etc.
It limits.In addition, the information of the past abnormal gait of assignor can be used for about generation, the differentiation of event and its tight at any time
Weight degree etc. limits the abnormal gait detected.In addition, indicating the information of the abnormal gait of the group of the people can help
Compared with the event undergone with other with comparable disease or with the people than type and the disease symptoms of severity
Relatively assess the abnormal gait detected.Based on available information, then the abnormal gait detected can be best suited for expection
Mode build prompting collection sequence.For example, the sequence of prompting collection and/or its composition can be about for the abnormal gaits detected
Mode and/or information specifically select.This can be for example available by means of can for example be analyzed by means of statistical method
Information and realized based on analysis result to build (one or more) algorithm of (one or more) prompting collection sequence.For
The storage available information, particularly indicates the information of the past abnormal gait of the people, and the disposal plant can be wrapped also
Include suitable storage unit.Moreover, for example, it is contemplated that information communication unit, to allow will to indicate group's step of the people
The information of state exception is transmitted to the disposal plant.Certainly, also can, data portion or completely remote location (such as
The server of the manufacturer of the disposal plant or special service provider) at stored and/or analyzed.In such case
Under, the disposal plant further includes the suitable communication interface for data to be allowed to be transmitted to remote location.
The information of the current scene of assignor and/or the abnormal gait of the group of the past abnormal gait of people and/or people
Information can be further used for adjusting at least one of given prompting collection prompting (one or more) parameter.Term " parameter "
It should be understood to refer to the intensity or shape of such as visual cues in the context of this description, as there is listening for rhythm sound
Feel loudness, frequency or the pitch of prompting, the duration of vibratory stimulation and frequency, etc..Thus, for example, though it is foreseeable that,
Can the intensity of visual cues be adjusted or can be according to the loudness level of the environment of people according to the luminance level of the environment of people
To adjust the loudness of auditory cues.
It is also preferred that the disposal plant further includes：
One or more scene informations provide unit, are used to provide the information for indicating the current scene of the people.
One or more of scene informations, which provide unit, can include such as sensing unit, and the sensing unit is suitable for sense
Survey the scene aspect (for example, detection of the rotation to narrow channel, the people, congested area etc.) of the people, part aspect
(for example, the people undergoes the position of abnormal gait repeatedly), cognition validity aspect (such as pressure, cognitive load etc.), physiology
Aspect (such as heart rate) etc..On the other hand, they may also include the unit for providing the time in such as just for one day.Extraly or
Alternatively, one or more of scene informations provide unit and may be adapted to be indicated from other data sources in higher level
The information of the current scene of the people.For example, from the information collected about traffic, (traffic congestion, causes to the people
Crowded interference) metropolitan area sensor network data can with from suitable for sensing the position of people's (for example, GPS unit)
(one or more) sensing unit data be applied in combination with, so as to identify may to the people undergo abnormal gait risk
The scene having an impact.
Preferably, one or more of scene informations provide unit and include：
Input unit is used to input the information of the medicament administration about the people,
Wherein, the abnormal gait limits unit and is suitable for limiting detection based on the information for the current scene for indicating the people
The abnormal gait arrived, wherein, the current scene of the people includes the current administration state of the people.
This makes it possible to the current administration state that the people is considered when providing different prompting collection to the people.Example
Such as, visual cues can be provided to the people with certain strength or can be to be very suitable for the current medical shape of the people
The specific frequency of state provides the auditory cues as rhythmical sound.
Preferably, the abnormal gait determination unit be suitable for by means of algorithm come detect and/or monitor abnormal gait and/
Or the prompting control unit is suitable for building prompting collection sequence by means of algorithm,
Wherein, the disposal plant further includes：
Updating unit is used to allow to update (one or more) algorithm and/or is input to (one or more) algorithm
Data.
For example, (one or more) that ought more be used to detect and/or monitor abnormal gait effectively becomes with dependable algorithm
When must can be used or when the new knowledge of the applicability about particular hint is made available by, this allows to upgrade and improves institute
State disposal plant.For example, the data can be the information of group's abnormal gait of assignor.Updating unit can be included for example
For being inserted into the interface of data storage device (such as USB (universal serial bus) stick), the data storage device can be used for
Uploading (one or more) new algorithm and/or data or its to the disposal plant can include allowing from long-range position
Put the suitable communication interface of upload.
It is also preferred that the disposal plant further includes：
Alarm transmission unit is used to determine providing predetermined number to the people in the abnormal gait determination unit
What the abnormal gait detected after the different prompting collection of amount or after a predetermined period of time second was not still overcome
In the case of alarm is automatically sent to remote location.
The abnormal gait that cannot be overcome quickly may result in serious fatigue so that particularly if the people is old
In the case of year people, he/her may want help so as to from returns such as walkings.For example, remote location can come from him/her
Family personnel at, at nursing staff or the service center as lifeline.Alarm communication unit is preferably suitable for using
The mobile comm unit of suitable automatic " calling " responsible person of mobile communication technology.Disposal plant can include such as hand-free call
System so that the people can tell his/her position for being presently in of the recipient of calling and his/her present case such as
What.Further it is possible that disposal plant may include the location determination list of the GPS unit of position for determining people etc.
Member, and the mobile comm unit is further adapted for the position of the people being passed to remote location.The different of predetermined quantity carry
It can be such as 10 to show collection.Similarly, the second predetermined amount of time can be such as 20 seconds.
Preferably, the disposal plant further includes：
User interface, is used to allowing that people's input to be ceased and desisted order and/or sensitivity changes order,
Wherein, the prompting control unit is adapted for the input ceased and desisted order and stops one or more of
Prompt unit to the people provide the different prompting collection and/or
Wherein, the abnormal gait monitoring unit is adapted for the input of the sensitivity change order and changes to institute
State the sensitivity of the detection of the abnormal gait of people.
This provides the ability of the function of intervention and/or the control disposal plant function for the people, if it is desired to or need
If wanting.For example, if abnormal gait monitoring unit has falsely detected the abnormal gait of the people and prompts control unit
Start to provide different prompting collection to the people, then the people can stop this point.Similarly, if the abnormal gait is supervised
It surveys unit and erroneously determines that abnormal gait, which is not detected, to be overcome, then the people can also stop providing to the people different
Prompting collection.If in addition, the people wants to reduce or improves the threshold value that provides different promptings to the people and collect, he/her
This can be carried out by inputting appropriate sensitivity change order.It for example, then will be especially not inconvenient or danger in gait
In the case of, such as when passing across a street, the people may wish to reduce threshold value.On the other hand, if provided to the people different
Prompting rally is especially inconvenient, such as when participating in speech or acute performance, he/her may wish to increase threshold value.In addition, the use
Family interface is readily applicable to that the people is allowed to completely close the disposal plant and switches it to again.The user
Interface unit can include one or more simple personal controls, such as button, jog dial etc., can include current permitted
The touch interface that more mobile communication equipments provide can include allowing the device controlled by voice command, Huo Zheqi
It can include the controller of any other suitable type.
Preferably, the disposal plant further includes：
One or more gait information sensing units are used to sense the information for indicating the current gait of the people,
Wherein, the abnormal gait monitoring unit is suitable for detecting the abnormal gait based on the information of sensing.
One or more of gait information sensing units are preferably wearable so that they can for example be attached to
The leg of the people indicates the information of the current gait of the people to sense.
Preferably, one or more of gait information sensing units include：(i) accelerometer and/or (ii) gyro
Instrument and/or (iii) muscle tension sensor.Such gait information sensing unit indicates the people's particularly suitable for providing
The information of current gait.Such as, it is anticipated that the first accelerometer will be attached to the shank of people (for example, just on ankle
Side), and it is contemplated that the second accelerometer by the thigh (such as just above the knee) for being attached to people and the gait
Exception monitoring unit may be adapted to detect abnormal gait based on the acceleration information of the sensing from two accelerometers.At this
In example, such as additional muscle tension sensor can also be used by providing what can be used by abnormal gait monitoring unit
Additional muscle tone information detects sensitivity and/or the specificity of the abnormal gait of the people to further improve.It can be pre-
See that the additional muscle tension sensor can also be connected to the thigh of the people.It may score with second acceleration
It opens or they may be integrated into an equipment or unit.
In another aspect of the invention, it is proposed that it is a kind of for disposing the method for disposal of the abnormal gait of people, wherein, institute
It is that gait freezes (FoG) to state abnormal gait, wherein, the method for disposal includes：
The abnormal gait of people is detected by abnormal gait monitoring unit, and
One or more prompt units are controlled with to described in response to detecting abnormal gait by prompting control unit
People provides one or more the first prompting collection prompted for disposing the abnormal gait detected,
Wherein, the effect that the first prompting collection is provided to the people is monitored, and list is monitored by the abnormal gait
Member determines whether the abnormal gait detected is being overcome, and
Wherein, the one or more of prompt units of control are fitted by the prompting control unit, to have determined detection
To abnormal gait be not yet overcome in the case of the second different promptings of one or more promptings be provided to the people collect.
In another aspect of the invention, it is proposed that a kind of to be used for control for disposing the disposal plant of the abnormal gait of people
Computer program, wherein, the computer program include code modules, when the computer program according to right will
It asks when being run on the disposal plant described in 1, said program code module is for making the disposal plant perform according to claim
Method of disposal described in 14.
It should be understood that disposal plant according to claim 1, method of disposal according to claim 14 and root
There is similar and/or identical preferred embodiment according to the computer program described in claim 15, especially as appurtenance will
Defined in asking.
It should be appreciated that the preferred embodiment of the present invention also is able to be dependent claims or above-described embodiment with it is corresponding solely
The arbitrary combination of vertical claim.
These and other aspects of the invention will become apparent according to embodiment as described below, and will refer to down
The embodiment of text description is set forth.
Description of the drawings
In the following figures：
Fig. 1 is schematic and schematically illustrates a personal use for disposing the disposal plant of the abnormal gait of the people
Embodiment,
Fig. 2 illustrates the further details of the disposal plant shown in Fig. 1, and
Fig. 3 shows graphical representation of exemplary for disposing the flow chart of the embodiment of the method for disposal of the abnormal gait of people.
Specific embodiment
Fig. 1 is schematic and schematically illustrates a use of people 1 for disposing the disposition of the abnormal gait of people dress
Put 10 embodiment.In this embodiment, people 1 is the elderly with such as PD, wherein, the abnormal gait is FoG.Disposition
Device 10 includes one or more (being in this example three) prompt units 15,16 and 17.First prompt unit 15 (herein for
In-Ear Headphones) suitable for people 1 provide auditory cues, the 16 (laser to be arranged on the glasses of people 1 herein of the second prompt unit
Indicator) it is adapted to provide for providing visual cues to people 1, and third prompt unit 17 (being here electrode patch) is suitable for people 1
Leg muscle provide electro photoluminescence prompting.Auditory cues can be or can be including for example rhythmical sound, such as beat a drum,
The music samples of " I ' m Walking " such as the voice command of " walking 1,2,3,4 " or such as from Fats Domino, warp
It is reproduced by In-Ear Headphones 15.In this example, visual cues are projected before the foot of the people by laser designator 16
Luminous point.Disposal plant 10 further include for detect people 1 abnormal gait abnormal gait monitoring unit 11 and for sensing
Indicate information 12 He of one or more (being in this example two) gait information sensing units of the current gait of the people 1
13, wherein, the abnormal gait monitoring unit 11 is suitable for detecting the abnormal gait based on the information sensed.The two steps
State information sensing unit 12 and 13 is all accelerometer herein, wherein, the first accelerometer 12 is attached to the shank of people 1
(such as just above ankle) and the second accelerometer 13 are attached to the thigh (such as just above the knee) of people 1.In order to
Two accelerometers 12 and 13 are attached to people 1, elastic webbing and Wei Kelao can be used.Here, abnormal gait monitoring unit 11
It is included in and is worn in the housing 8 on his waistband by people 1.Two accelerometers 12 and 13 and abnormal gait monitoring unit 11
Between communication can be performed for example by means of wired connection or preferably by using suitable wireless communication technique.
Abnormal gait monitoring unit 11 is suitable for being based on from two accelerometers 12 and 13 (gait information sensing unit)
The acceleration information that senses detects abnormal gait.Therefore, it can use and for example exist in Bachlin et al.
Proceedings of 16th International Symposium on Wearable Computers, Linz,
Austria, " the Potentials of enhanced context awareness in page 123 to 130 (2009)
parable assistants for Parkinson's disease patients with the freezing of gait
Technology described in the paper of syndrome ".
Disposal plant 10 further includes prompting control unit 14, and control unit 14 is prompted to be used in response to detecting abnormal gait
And it is different for disposing the gait detected to control In-Ear Headphones 15, laser designator 16 and electrode patch 17 (prompt unit)
First prompting collection of normal one or more promptings is supplied to people 1.Here, prompting control unit 14 is also included within is worn by people 1
In housing 8 on his waistband.Prompt the communication between control unit 14 and three prompt units 15,16 and 17 can be such as
By means of wired connection or preferably performed by using suitable wireless communication technique.
In this example, the first prompting collection include the voice command " walking 1,2,3,4 " reproduced by In-Ear Headphones 15 with
And the luminous point projected by laser designator 16.On the contrary, the electro photoluminescence prompting that can be provided by electrode patch 17 is not included in first
Prompting is concentrated.
Abnormal gait monitoring unit 11 be suitable for monitoring to people 1 provide first prompting collection (be here voice command " walking 1,2,
3rd, 4 " and luminous point) effect, and determine whether the abnormal gait detected is being overcome.The prompting control unit 14 is suitable
For controlling one or more of prompt units 15,16,17, to have determined that the abnormal gait detected is not yet overcome
In the case of the second different promptings of one or more promptings to the people 1 be provided collect.
In this embodiment, prompting control unit 14 is suitable for control In-Ear Headphones 15, laser designator 16 and electrode
Patch 17 (prompt unit) is collected, and described with providing the first prompting to the people in the first predetermined amount of time (being 2 seconds here)
Abnormal gait monitoring unit 11 is suitable in the abnormal gait detected until the first predetermined amount of time terminates the feelings stopped not yet
The abnormal gait for determining to detect under condition is not yet overcome.
In this example, the second prompting collection include the voice command reproduced by In-Ear Headphones 15 " walking 1,2,3,
4 ", the luminous point projected by laser designator 16 and the electro photoluminescence provided by electrode patch 17.In other words, it described first carries
Show that collection and the second prompting collection include carrying for additional mode difference lies in the described second prompting collection compared with the first prompting collection
Show.However, additionally or alternatively, the first prompting collection and the described second prompting collection can also be different in the following areas：Extremely
The mode of a few prompting and/or the first prompting collection include at least the one of additional mode compared with the described second prompting collection
The information that a prompting and/or at least one prompting by giving mode provide collects between the second prompting collection not in the first prompting
Together.
Here, the first prompting collection and described second prompts to collect one that the prompting for forming different prompting collection collects sequence
Point, wherein, the prompting control unit 14 is suitable for control In-Ear Headphones 15, laser designator 16 and the (prompting of electrode patch 17
Unit) to be not yet overcome as long as the abnormal gait that the abnormal gait determination unit 11 determines to detect as long as to 1 phase of people
Different prompting collection is provided after ground.
The further details of the disposal plant 10 shown in Fig. 1 are shown in Fig. 2.Disposal plant 10 is included by reference to upper
The element that the Fig. 1 in face is explained：The abnormal gait monitoring unit 11 and prompting control unit 14 being included in housing 8；In-Ear ear
Machine 15, laser designator 16 and electrode patch 17 (prompt unit) and；Two 12 and 13 (gait information senses of accelerometer
Survey unit).
In addition, here, disposal plant 10 further includes the abnormal gait and limits unit 18, the abnormal gait limits unit
18 are used to limit the abnormal gait detected based on the information for the current scene for indicating the people 1.For this purpose, disposal plant 10 is also
Unit 19 and 20 is provided including one or more (being mainly two in this example) scene informations, for providing assignor's 1
The information of current scene.Here, the first scene information provides unit 19 and is suitable for only providing the time in one day, and the second scene
Information provider unit 20 is adapted for sensing the steering sensing unit of the steering of people 1.Particularly, turning to sensing unit 20 is worn by people
The gyroscope being worn on his waistband, also as shown in fig. 1.
In this embodiment, the prompting control unit 14 is suitable for building prompting collection sequence based on the result of the restriction
Row.This allows to according to the concrete condition of abnormal gait detected come customized prompts collection sequence.Specifically, the suitable of collection is prompted
Sequence and/or its composition can specifically be selected about the mode for the abnormal gait detected and/or information.Extraly or
Person alternatively, limit can also be based on assignor 1 past abnormal gait and/or people group abnormal gait information.For
Storage available information, the information for the 1 past abnormal gait that particularly relates to let others have a look at, disposal plant 10 may further include properly
Storage unit (not shown).Moreover, for example, it is anticipated that information communication unit (is also not shown) in figure, to allow
The information of crowd's abnormal gait for indicating the people is sent to the disposal plant 10.
Here, one or more of scene informations offer units further include applies for inputting about the drug of the people 1
The input unit 21 of information, wherein, the current scene of the people 1 includes the current administration state of the people 1.
In this embodiment, the abnormal gait determination unit 11 is suitable for detecting and/or monitor gait by means of algorithm
Abnormal and/or described prompting control unit 14 is suitable for building prompting collection sequence, in this case, disposition by means of algorithm
Device 10 further includes updating unit 22, and the updating unit 22 is used to allow more new algorithm and/or is input to the data of algorithm.Example
Such as, the data can be the information of group's abnormal gait of assignor.Here, updating unit includes being inserted into data storage
The interface of equipment (such as USB (universal serial bus) stick), the data storage device can be used on the disposal plant
Pass (one or more) new algorithm and/or data.Additionally or alternatively, can also include for allow from remote location into
The suitable communication interface that row uploads.
In this embodiment, disposal plant 10 further includes alarm transmission unit 23, and the alarm transmission unit 23 is used for
The abnormal gait determination unit 11 determines what is detected later in the different prompting collection that predetermined quantity is provided to the people 1
Alarm is automatically sent to remote location by abnormal gait in the case of not still being overcome.Here, alarm communication unit 23 is
Suitable for using the mobile comm unit of automatic " calling " responsible person of suitable mobile communication technology.Disposal plant 10 includes hands-free logical
Telephone system (not shown) so that how people 1 can tell position that he is currently located and his the present situation to reception
Person.In this example, the predetermined quantity of different prompting collection is 10.
Here, disposal plant 10 further includes user interface 24, and user interface 24 is ceased and desisted order for the people 1 to be allowed to input
And/or sensitivity changes order.In this example, prompting control unit 14 be adapted for the input ceased and desisted order and stop into
Aural headphone 15, laser designator 16 and electrode patch 17 (prompt unit) to the people 1 to provide different promptings, and institute
It states abnormal gait monitoring unit 11 and is adapted for the input that sensitivity changes order, and the gait for changing the detection people 1 is different
Normal sensitivity.Here user interface section 24 includes one or more simple personal controls, such as button, jog-dial
Deng (in figure be not shown specifically).
Hereinafter, by described with reference to the flowchart illustration shown in figure 3 for dispose people abnormal gait disposition side
The embodiment of method.Method of disposal can be performed for example using with reference to figure 1 and the disposal plant 10 of Fig. 2 descriptions.
In a step 101, the abnormal gait of the people 1 is detected by abnormal gait monitoring unit 11.
In a step 102, by prompt control unit 14 come in response to detect the abnormal gait control one or
What multiple prompt units 15,16,17 were prompted with providing the one or more of the abnormal gait detected for disposition to the people 1
First prompting collection.
In step 103, the effect that the first prompting collection is provided to the people 1 is monitored, and different by the gait
Normal monitoring unit 11 determines whether the abnormal gait detected is being overcome.
At step 104, one or more of prompt units 15,16 and 17 are controlled by the prompting control unit 14,
To provide one or more promptings not to the people 1 in the case where having determined that the abnormal gait detected is not yet overcome
The second same prompting collection.
Although in the embodiment of the disposal plant 10 above with reference to Fig. 1 and Fig. 2 descriptions, disposal plant 10 is carried including three
Show unit, that is, In-Ear Headphones 15, laser designator 16 and electrode patch 17, but other embodiments can include difference
The prompt unit of quantity.For example, in one embodiment, can extraly provide in the sole of the footwear of the people for it is expected
The vibration unit of haptic stimulus that foot offer of the rhythm of walking paces to people is such as vibrated.It in another embodiment, can be with
Video glass for showing different visual cues (such as red line or the foot of one group of walking) on the actual environment of people is provided.
The embodiment of disposal plant can be realized in the form of integrated form wearable device.For example, such equipment can
To include：Abnormal gait monitoring unit prompts control unit, one or more as the accelerometer of gait information sensing unit
Prompt unit, such as to the loud speaker of people's offer auditory cues and for providing electro photoluminescence prompting to the muscle of people
Electrode patch, and optionally, the abnormal gait unit and/or other elements are all integrated into joint housing.For example, institute
Equipment is stated to may be adapted to be worn on his/her shank (for example, just above ankle) by the people.
The embodiment of disposal plant can also include providing the function of guiding to the people of experience abnormal gait.For example, can be with
Suitable user interface is provided remind it is described take his/her drug or take with abnormal gait event it is relevant any other
Preventative or response personal behavior.
Those skilled in the art are putting into practice the claimed present invention by studying attached drawing, open and claims
When, it is possible to understand that and realize other modifications to disclosed embodiment.
In the claims, one word of " comprising " is not excluded for other elements or step, and word "a" or "an" is not arranged
Except multiple.
Individual unit or device can complete the function of several enumerated in claim.Although in mutually different subordinate
Certain measures are recorded in claim, but this does not indicate that the combination that these measures cannot be used to advantage.
The abnormal gait of people is such as detected, one or more prompt units is controlled to be carried to provide one or more to the people
The prompting collection shown monitors effect collected to the prompting for providing one or more promptings etc. by one or more units or equipment
The flow of execution can be performed by the unit or equipment of any other quantity.These flows and/or according to method of disposal to place
The code modules and/or specialized hardware of computer program can be implemented as by putting the control of device.
Computer program can be stored/distributed on suitable medium, such as is provided together with other hardware or conduct
The optical storage medium or solid state medium that the part of other hardware is provided, but computer program can also divide otherwise
Cloth, such as via internet or other wired or wireless telecommunication systems.
Any reference numeral in claim is all not necessarily to be construed as the limitation to range.
The present invention relates to a kind of for disposing the disposal plant of the abnormal gait of people.The disposal plant includes：Gait is different
Normal monitoring unit is used to detect the abnormal gait of people；One or more prompt units；And prompting control unit, it is used for
One or more of prompt units is controlled to provide to carry the abnormal gait in response to detecting the abnormal gait
Supply the first prompting collection of the people.The abnormal gait monitoring unit is suitable for monitoring and provides the first prompting collection to the people
Effect and determine whether the abnormal gait detected is just being overcome.It is one or more that the prompting control unit is suitable for control
Prompt unit, it is one or more to be provided in the case where having determined that the abnormal gait detected is not yet overcome to the people
The second different prompting collection of prompting.This improves the possibility that can effectively dispose the abnormal gait detected.
Claims (14)
1. one kind is used to dispose the disposal plant of the abnormal gait of people (1), wherein, the abnormal gait is that gait freezes (FoG),
The disposal plant (10) includes：
Abnormal gait monitoring unit (11) is used to detect the abnormal gait of the people (1),
One or more prompt units (15,16,17) and
Control unit (14) is prompted, is used to control one or more of promptings in response to detecting the abnormal gait
Unit (15,16,17) is used for the first of the one or more promptings for disposing the abnormal gait detected to be provided to the people (1)
Prompting collection,
Wherein, the abnormal gait monitoring unit (11) provides the described first effect for prompting collection suitable for monitoring to the people (1)
And determine whether the abnormal gait detected is just being overcome, and
Wherein, the prompting control unit (14) is suitable for controlling one or more of prompt units (15,16,17), with
Abnormal gait through determining to detect is prompted different to the people (1) offer one or more in the case of being not yet overcome
Second prompting collection.
2. disposal plant according to claim 1, wherein, the first prompting collection and the described second prompting collection are with lower section
Face is different：(i) mode of at least one prompting and/or (ii) described second prompting collection include compared with the described first prompting collection
At least one prompting of additional mode letter that or vice versa and/or (iii) is provided by least one prompting for giving mode
Breath is different between the described first prompting collection and the second prompting collection.
3. disposal plant according to claim 1, wherein, the prompting control unit (14) suitable for control it is one or
Multiple prompt units (15,16,17) are collected, and institute with providing first prompting to the people (1) in the first predetermined amount of time
State abnormal gait monitoring unit (11) suitable in the abnormal gait detected until the first predetermined amount of time terminates to stop not yet
In the case of the abnormal gait that determines to detect not yet be overcome.
4. disposal plant according to claim 1, wherein, the first prompting collection is different with the described second prompting collection formation
Prompting collection prompting collection sequence a part, wherein, it is described prompting control unit (14) suitable for control it is one or more of
Prompt unit (15,16,17) if with by the abnormal gait determination unit (11) determine the abnormal gait detected not yet by
Overcome and just successively provide the different prompting collection to the people (1).
5. disposal plant according to claim 4, further includes：
Abnormal gait limits unit (18), is used for the information of the current scene based on the people (1) is indicated and/or the people
(1) information of the information of past abnormal gait and/or the abnormal gait of the group of people limits the abnormal gait detected,
Wherein, the prompting control unit (14) collects sequence suitable for the result based on the restriction to build the prompting.
6. disposal plant according to claim 5, wherein, it further includes：
One or more scene informations provide unit (19,20,21), are used for offer and indicate that the described of people (1) works as front court
The described information of scape.
7. disposal plant according to claim 6, wherein, one or more of scene informations provide unit (19,20,
21) include：
Input unit (21) is used to input the information of the medicament administration about the people (1),
Wherein, the abnormal gait limits unit (18) and is limited suitable for being based on the information for the current scene for indicating the people (1)
The abnormal gait detected, wherein, the current scene of the people (1) includes the current administration state of the people (1).
8. disposal plant according to claim 4, wherein, the abnormal gait determination unit (11) is suitable for by means of algorithm
It is described suitable for being built by means of algorithm to detect and/or monitor the abnormal gait and/or the prompting control unit (14)
Prompting collection sequence,
Wherein, the disposal plant (10) further includes：
Updating unit (22) is used to allow the one or more algorithms of update and/or is input to one or more calculations
The data of method.
9. disposal plant according to claim 4, further includes：
Alarm transmission unit (23) is used to determine to provide to the people (1) in the abnormal gait determination unit (11)
The abnormal gait detected after the different prompting collection of predetermined quantity or after a predetermined period of time second still not by
Alarm is automatically sent to remote location in the case of overcoming.
10. disposal plant according to claim 4, further includes：
User interface (24), is used to allowing that the people (1) input to be ceased and desisted order and/or sensitivity changes order,
Wherein, the prompting control unit (14) is adapted to respond to the input ceased and desisted order and stops one or more
A prompt unit (15,16,17) to the people (1) provide the different prompting collection and/or
Wherein, the abnormal gait monitoring unit (11) is adapted for the input of the sensitivity change order and changes
Sensitivity to the detection of the abnormal gait of the people (1).
11. disposal plant according to claim 1, further includes：
One or more gait information sensing units (12,13) are used to sense the letter for the current gait for indicating the people (1)
Breath,
Wherein, the abnormal gait monitoring unit (11) is suitable for detecting the abnormal gait based on the information sensed.
12. disposal plant according to claim 11, wherein, one or more of gait information sensing units (12,
13) include：(i) accelerometer and/or (ii) gyroscope and/or (iii) muscle tension sensor.
13. one kind is used to dispose the method for disposal of the abnormal gait of people (1), wherein, the abnormal gait is that gait is freezed
(FoG), the method for disposal includes：
The abnormal gait of the people (1) is detected by abnormal gait monitoring unit (11), and
By prompting control unit (14) come in response to detect the abnormal gait and control one or more prompt units (15,
16th, 17) with to the people (1) provide for dispose one or more first promptings prompted of the abnormal gait that detects collected,
Wherein, the effect that the first prompting collection is provided to the people (1) is monitored, and by the abnormal gait monitoring unit
(11) determine whether the abnormal gait detected is being overcome, and
Wherein, one or more of prompt units (15,16,17) are controlled by the prompting control unit (14), with
The abnormal gait for determining to detect provides different the of one or more promptings to the people (1) in the case of being not yet overcome
Two prompting collection.
14. one kind is used for control for disposing the computer program of the disposal plant of the abnormal gait of people (1), the computer journey
Sequence includes code modules, when the computer program on disposal plant according to claim 1 (10) when running,
Said program code module is used to that the disposal plant (10) to be made to perform method of disposal according to claim 13.
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| EP15188927.6 | 2015-10-08 | ||
| EP15188927 | 2015-10-08 | ||
| PCT/EP2016/073026 WO2017060132A1 (en) | 2015-10-08 | 2016-09-28 | Treatment apparatus and method for treating a gait irregularity of a person |
Publications (1)
| Publication Number | Publication Date |
|---|---|
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| CN111195189A (en) * | 2018-11-17 | 2020-05-26 | 中国科学院宁波工业技术研究院慈溪生物医学工程研究所 | Gait freezing symptom rehabilitation training method and system for Parkinson patient |
| CN114677791A (en) * | 2022-04-01 | 2022-06-28 | 郑州鸿浩信息技术有限公司 | Remote management system for electronic lead sealing |
| US20220369994A1 (en) * | 2021-02-03 | 2022-11-24 | Synchron Australia Pty Limited | Neuromonitoring diagnostic systems |
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| ITUA20163488A1 (en) * | 2016-05-16 | 2017-11-16 | Univ Degli Studi Di Siena | SYSTEM FOR GUIDING THE STEP OF A SUBJECT |
| TWM537280U (en) * | 2016-07-06 | 2017-02-21 | Idesyn Semiconductor Corp | Fall detection system analyzing fall severity, and wearable device thereof |
| US12254755B2 (en) | 2017-02-13 | 2025-03-18 | Starkey Laboratories, Inc. | Fall prediction system including a beacon and method of using same |
| US20180228405A1 (en) | 2017-02-13 | 2018-08-16 | Starkey Laboratories, Inc. | Fall prediction system including an accessory and method of using same |
| US11559252B2 (en) | 2017-05-08 | 2023-01-24 | Starkey Laboratories, Inc. | Hearing assistance device incorporating virtual audio interface for therapy guidance |
| CN107928679A (en) * | 2017-12-07 | 2018-04-20 | 中国科学院宁波材料技术与工程研究所 | The diagnostic device of disturbances in patients with Parkinson disease freezing of gait |
| CN108309303B (en) * | 2017-12-26 | 2021-01-08 | 上海交通大学医学院附属第九人民医院 | Wearable intelligent monitoring of gait that freezes and helps capable equipment |
| KR20210034006A (en) * | 2018-07-03 | 2021-03-29 | 모테럼 테크놀러지스, 아이엔씨. | Distributed system architecture for gait monitoring and its use method |
| WO2020056265A1 (en) | 2018-09-14 | 2020-03-19 | De Oro Devices, Inc. | Cueing device and method for treating walking disorders |
| CN111195385A (en) * | 2018-11-17 | 2020-05-26 | 中国科学院宁波材料技术与工程研究所 | Gait freezing symptom rehabilitation training method and system for Parkinson patient |
| EP3895141B1 (en) | 2018-12-15 | 2024-01-24 | Starkey Laboratories, Inc. | Hearing assistance system with enhanced fall detection features |
| EP3903290A1 (en) | 2018-12-27 | 2021-11-03 | Starkey Laboratories, Inc. | Predictive fall event management system and method of using same |
| EP3760120A1 (en) * | 2019-07-04 | 2021-01-06 | Koninklijke Philips N.V. | Wearable cueing systems for assisting a subject with walking |
| US12095940B2 (en) | 2019-07-19 | 2024-09-17 | Starkey Laboratories, Inc. | Hearing devices using proxy devices for emergency communication |
| GB201915235D0 (en) * | 2019-10-22 | 2019-12-04 | Univ Oxford Innovation Ltd | Targeted cue delivery system for gait regulation |
| WO2021188699A1 (en) * | 2020-03-18 | 2021-09-23 | De Oro Devices, Inc. | Movement correction system and methods |
| CN112057080B (en) * | 2020-08-10 | 2021-07-02 | 华中科技大学 | A frozen gait detection system based on staged feature extraction |
| US20220087898A1 (en) * | 2020-09-24 | 2022-03-24 | Daniel Arthur Reynolds | System, device and method to aid gait and balance in ataxic users |
| US20220126191A1 (en) * | 2020-10-26 | 2022-04-28 | University Of South Florida | Gait training using a combination of rehabilitation therapies and feedback |
| EP4212094B1 (en) | 2022-01-18 | 2024-03-06 | Sonova AG | Gait stabilizing with hearing device |
| NL2031061B1 (en) * | 2022-02-24 | 2023-09-06 | Cue2Walk Int B V | Multiple algorithms for controlling a cueing device. |
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| US20230301864A1 (en) * | 2022-03-22 | 2023-09-28 | David Barwick | Technologies for improving the gait of individuals with parkinson's disease |
| GB2630141A (en) * | 2023-05-19 | 2024-11-20 | Charco Neurotech Ltd | Wearable device for mitigating symptoms of neurological conditions of users and method for using same |
| GB2630564A (en) * | 2023-05-19 | 2024-12-04 | Charco Neurotech Ltd | Wearable device for mitigating symptoms of neurological conditions of users and methods for using same |
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| US10945641B2 (en) * | 2011-10-09 | 2021-03-16 | The Medical Research, Infrastructure and Health Services Fund of the Tel Aviv Medical Center | Virtual reality for movement disorder diagnosis and/or treatment |
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- 2016-09-28 US US15/766,070 patent/US20180289287A1/en not_active Abandoned
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- 2016-09-28 RU RU2018116898A patent/RU2732433C2/en active
- 2016-09-28 JP JP2018516144A patent/JP2018535713A/en active Pending
- 2016-09-28 WO PCT/EP2016/073026 patent/WO2017060132A1/en active Application Filing
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| US20090099627A1 (en) * | 2007-10-16 | 2009-04-16 | Medtronic, Inc. | Therapy control based on a patient movement state |
| US20100274304A1 (en) * | 2009-04-22 | 2010-10-28 | Rush University Medical Center | Method and device to manage freezing of gait in patients suffering from a movement disorder |
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| CN111195189A (en) * | 2018-11-17 | 2020-05-26 | 中国科学院宁波工业技术研究院慈溪生物医学工程研究所 | Gait freezing symptom rehabilitation training method and system for Parkinson patient |
| US20220369994A1 (en) * | 2021-02-03 | 2022-11-24 | Synchron Australia Pty Limited | Neuromonitoring diagnostic systems |
| CN114677791A (en) * | 2022-04-01 | 2022-06-28 | 郑州鸿浩信息技术有限公司 | Remote management system for electronic lead sealing |
| CN114677791B (en) * | 2022-04-01 | 2023-08-08 | 郑州鸿浩信息技术有限公司 | Remote management system for electronic lead sealing |
Also Published As
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| JP2018535713A (en) | 2018-12-06 |
| US20180289287A1 (en) | 2018-10-11 |
| RU2018116898A3 (en) | 2020-03-06 |
| WO2017060132A1 (en) | 2017-04-13 |
| EP3360064A1 (en) | 2018-08-15 |
| RU2732433C2 (en) | 2020-09-16 |
| RU2018116898A (en) | 2019-11-08 |
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